Objective:To explore the effects of the "Internet +" hospital-family standardized feeding management model in premature infants.Methods:From May 2019 to November 2020, 240 moderately-risk and low-risk premature infants hospitalized at the Department of Neonatal Medicine in Henan Children's Hospital were selected by convenience sampling and divided into a control group and an experimental group according to the random number table and order of admission, with 120 infants in each group. Infants in the control group received standardized nursing, while infants in the experimental group underwent "Internet +" hospital-family standardized feeding management on this basis. The weight, body length and head circumference of the two groups of premature infants were measured at the age of 40 weeks, 6 months, and 12 months after correction; the hemoglobin and serum ferritin levels were detected, and the incidence of anemia and iron deficiency were observed at the age of 6 months and 12 months after correction; the readmission rate, neurological function, and parental satisfaction with care were investigated at the age of 12 months after correction.Results:At the age of 40 weeks after correction, there was no significant difference in weight, body length, and head circumference between the experimental and control groups ( P>0.05) . At the age of 6 and 12 months after correction, the weight, body length, and head circumference were larger in the experimental group than in the control group, and the difference was statistically significant ( P<0.01) . At the age of 6 months after correction, there was no significant difference in the hemoglobin and serum ferritin levels between the two groups of premature infants ( P>0.05) . At the age of 12 months after correction, the hemoglobin and serum ferritin levels in the experimental group was improved compared with the control group; The incidences of anemia and iron deficiency in the experimental group were lower than those in the control group; the readmission rate in the experimental group was lower than that in the control group, and the neurological function score was higher than that in the control group, with statistically significant difference ( P<0.05) ; parents of premature infants in the experimental group had better nursing satisfaction than the control group, and the difference was statistically significant ( P<0.05) . Conclusions:The "Internet +" hospital-family standardized feeding management model can improve the nutritional status of premature infants, promote their catch-up growth, improve prognostic outcomes, and elevate the satisfaction of parents of premature infants with continuous care.

Objective? To understand the influencing factors of the breastfeeding start time of premature newborns after being discharged from the hospital, and to provide the theoretical basis for the effective promotion of breastfeeding for premature infants after discharge. Methods? Using the convenient sampling method, the mothers of premature infants who were hospitalized in Affiliated Children's Hospital of Zhengzhou University from October to December 2017 were selected as the research subjects. A self-designed questionnaire that included general demographic information, breastfeeding knowledge and breastfeeding burden was used in telephone follow-ups, in order to analyze the influencing factors of breastfeeding start time of premature newborns after discharge. SPSS 17.0 was used for data entry and statistical analysis. Among the 100 families that were initially chosen, 2 calls could not be completed, 5 calls were not answered by the parents or too much information was lost, which resulted in a total of 93 valid surveys with the response rate of 93%. Results? Among the 93 cases, 88 newborns were breastfed, and 5 newborns rejected breastfeeding and were put on formula. Only 21.51% of all premature infants were exclusively breastfed. The breastfeeding start time after discharge was 13.0(6.5,28.5)h. 45.45% premature newborns accepted breastfeeding with 3 d after discharge. The premature newborns of different cultures, places of residence, birth weight of premature infants, gestational age, time of first sucking nipples, number of days of NICU hospitalization, knowledge of maternal feeding, feeding burden, whether mothers received breastfeeding guidance during hospitalization, there was a statistically significant difference in the starting time of breastfeeding after discharge (P＜0.05). The results of multiple linear regression showed that the factors that affected the start time of breastfeeding after newborns being discharged from ICU were: birth weight, breastfeeding burden, and the mother's feeding knowledge. Conclusions? The current status of breastfeeding in premature infants should be improved. Nursing personnel should give breastfeeding to premature infants as much as possible during hospitalization while provide psychological guidance and training for breastfeeding for mothers.